Correlation of body composition and prevalence of sarcopenia in patients with systemic lupus erythesis and rheumatoid arthritis assisted in a referral center in Pernambuco, Brazil.
DOI:
https://doi.org/10.12873/413siqueiraKeywords:
Anthropometry, Lupus Erythematosus Systemic, Arthritis, Rheumatoid, Autoimmune Diseases, SarcopeniaAbstract
Introduction: Patients with diseases such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) are especially predisposed to develop sarcopenia in light of the underlying pro-inflammatory state and decreased muscle use due to inactivity and pain. Objective: To verify the correlation of sarcopenia risk with nutritional status in patients with systemic lupus erythematosus and rheumatoid arthritis assisted at a referral center in the Northeast. Methodology: Cross-sectional study with 114 patients aged between 18 and 85 years. Clinical information and anthropometric data were collected, and functional capacity was assessed using the SARC-F instrument along with handgrip strength (HGS). A probable sarcopenia was adopted with the SARC-F score with risk and inadequate HGS. Results: The mean age found in the group of adults was 41.89 (± 12.02, SD), while in the group of elderly people, this mean was 70.05 (± 8.47SD). There is a prevalence of overweight of 57.89% in adults and eutrophic in the elderly 36.84%. The SARC-F risk assessment of sarcopenia together with an HGS identified possible sarcopenia in 34.06% in the adult group. In the elderly, a very strong correlation was found between the variable SARC-F and HGS (r = 1,000) p = 0.000. Conclusion: prevalence, prevalence of overweight adults, and prevalence of normal weight in the elderly group, in relation to the strength of manual pressure, there is evidence of a prevalence of decreased muscle strength in the population studied.
References
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T,
Cooper C, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31.DOI: 10.1093/age
ing/afy169 Publi shedelectronically 24 September 2018.
BRASPEN. Novo consenso europeu de definição e diagnóstico da
sarcopenia. Por: Diogo Toledo e LilianMika. Disponível em:
https://www.braspen.org/post/sarcopenia.Acessado em 13 de
maio de 2021.
World Health Organization (WHO). Envelhecimento ativo: uma pol ítica de saúde. Brasília: Organização Pan-Americana da Saúde,
a.
Correa CHG, Mejía FM, Claros JAV, Arroyabe HDC.Condiciones nutricionales de ancianos sarcopénicos antes y después de una intervención funcional.Nutrclín diet hosp 2018; 38(2):22-30. DOI:
12873/382gonzalez
Cortés G, Arbey W, Fernández M, Estefanía F, Sanmiguel O,
Camila L. Sarcopenia, una patología nueva que impacta a la vejez. Revista Colombiana de Endocrinología, Diabetes &
Metabolismo2018 Mar;17(1): 28-36. ISSN 2389-9786.
Diz JB, Leopoldino AA, Moreira BS, Henschke N, Dias RC, Pereira
LS, et al. Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis. GeriatrGerontol Int 2017
Jan;17(1):5-16. DOI: 10.1111/ggi.12720. Epub 2016 Jan 22.
PMID: 26799062.
Chen H, Ma J, Liu A, Cui Y, Ma X. The association between sarcopenia and fracture in middle-aged and elderly people: A systematic review and meta-analysis of cohort studies. Injury 2020
Apr;51(4):804-811. DOI:10.1016/j.injury.2020.02.072. Epub
Feb 18. PMID: 32115209.
Confortin SC, Ono LM, Barbosa AR, D’Orsi E. Sarcopenia e sua associação com mudanças nos fatores socioeconômicos, comportamentais e de saúde: Estudo EpiFloripa Idoso. Cad. Saúde Pública
[online] 2018; 34(12): e00164917. Epub 2018 Nov 29. ISSN
-4464. https://doi.org/10.1590/0102-311x00164917.
Sousa-Santos AR, Afonso C, Borges N, et al. Sarcopenia, physical
frailty,undernutrition and obesity cooccurrence among Portu -
guese community-dwelling older adults: results from Nutrition UP
cross-sectional study. BMJ Open 2020; 10:e033661.
DOI:10.1136/bmjopen-2019-033661.
Gupta S, Dhillon RJS, Hasni S. Sarcopenia: A Rheumatic
Disease? RheumDisClin North Am 2018;44(3):393-404.
DOI:10.1016/j.rdc.2018.03.001.11. Targowski T. Sarcopaenia
and rheumatoid arthritis. Reumatologia 2017; 55(2): 84–87. DOI:
https://doi.org/10.5114/reum.2017.67603.
Johnson AR, Milner JJ, Makowski L. The inflammation highway:
metabolism accelerates inflammation highway: metabolism accelerates inflammatory traffic in obesity. Immunol Rev 2012
Sep;249(1):218-238.DOI:10.1111/j.1600-065X.2012.01151.x.
Leite LEA, Resende TL, Nogueira GM, Cruz IBM, Schneider RH,
Gottlieb MGV. Envelhecimento, estresse oxidativo e sarcopenia: uma abordagem sistêmica. Rev Bras Geriatr Gerontol [online] 2012; 15(2): 365-380. ISSN 1809-9823. https://doi.org/10.
/S1809-98232012000200018
Roubenoff R, Roubenoff RA, Cannon JG, Kehayias JJ, Zhuang H,
Dawson-Hughes B, et al. Rheumatoid cachexia: cytokine-driven
hypermetabolism accompanying reduced body cell mass in
chronic inflammation. J ClinInvest1994 Jun; 93(6): 2379–2386.
Santos AS. Neuroimagem em doenças reumatológicas. Radiol
Bras 2018 Jul/Aug; 51(4). https://doi.org/10.1590/0100-
2018.51.4e2.
World Health Organization (WHO). Physical status: the use of and
interpretation of anthropometry, report of a WHO expert committee Acessado em 3/05/2021 https://apps.who.int/iris/handle/10665/37003.
Organización Panamericana de laSalud (OPAS). SaludBienestar y
Envejacimiento(SABE) en América Latina y el Caribe. 2001.
Disponível em: http://envejecimiento.csic.es/documentos/documentos/paho-salud-01.pdf. Acessado em 23/10/2020.
Stewart A, Marfell-Jones M, Oldas T, Ridder, H. International
Standards for Anthropometric Assessment. Lower Hutt, New
Zealand: International Society for the Advancement of
Kinanthropometry, 2011.
Frisancho AR. Anthropometric Standards for the Assessment of
Growth and Nutritional Status. Ann Arbor: The University of
Michigan Press; 1990.
Bray GA, Gray DS. Obesity. Part I – Pathogenesis. West J Med
; 149(40): 429-441.
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper
C, Sayer AA. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardized approach. Age Ageing 2011 Jul;40(4):423-9. DOI: 10.1093/ageing/afr051. Epub 2011 May 30. PMID: 21624928.
Batista SCH, et al. Relación entre el estado nutricional y la actividad clínica en pacientes con artritis reumatoide. Revista Cubana
de Reumatología 2020; 22(2): e140.
Cerpa-Cruz S, Castaneda-Urena M, Martínez-Bonilla G, GonzálezDíaz V, Ruíz-González FJ, Pérez-Romero MA. Sarcopenia en pacientes con enfermedades autoinmunes. Revista Medica MD 2016
Feb/Apr; 7(3).
Frank AA, Soares EA. Nutrição ao envelhecer. São Paulo: Ed.
Atheneu, 2002.
Prado CMM, Heymsfield SB. Lean Tissue Imaging: A New Era for
Nutritional Assessment and Intervention. J Parenter Enteral Nutr
Nov; 38(8): 940–953.
Ngeuleu A, Allali F, Medrare L, Madhi A, Rkain H, Hajjaj-Hassouni
N. Sarcopenia in rheumatoid arthritis: prevalence, influence of
disease activity and associated factors. Rheumatol Int 2017 Jun;
(6): 1015-1020. DOI: 10.1007/s00296-017-3665-x. Epub 2017
Mar 3. PMID: 28258473.
Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons.
Epidemiol Rev 2013; 35: 51-65. DOI: 10.1093/epirev/mxs006.
Epub 2012 Dec 4. PMID: 23221972.
.Matos LN, Giorelli GV, Dias CB. Correlation of anthropometric indicators for identifying insulin sensitivity and resistance. Sao
Paulo Med J 2011; 129(1): 30-5. DOI: 10.1590/s1516-31802011
PMID: 21437506.
Stabe C, Vasques AC, Lima MM, Tambascia MA, Pareja JC,
Yamanaka A, et al. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results
from the Brazilian Metabolic Syndrome Study. ClinEndocrinol
(Oxf) 2013 Jun; 78(6): 874-81. DOI: 10.1111/j.1365-2265.2012.
x.Epub 2013 Mar 25. PMID: 22804918.
Pinto AS, et al. Poor muscle strength and function in physically inactive childhood-onset systemic lupus erythematosus despite
very mild disease. Rev Bras Reumatol 2016; 56(6): 509–514.
Stockton KA, Kandiah DA, Paratz JD, Bennell KL. Fatigue, muscle
strength, and vitamin D status in women with systemic lupus erythematosus compared with healthy controls. Lupus 2012; 21:
–8.
Tian S, Xu Y. Association of sarcopenic obesity with the risk of allcause mortality: A meta-analysis of prospective cohort studies. GeriatrGerontol Int 2016 Feb; 16(2): 155-66. DOI:
1111/ggi.12579. Epub 2015 Aug 14. PMID: 26271226.
Nagayoshi BA, Lourenção LG, Kobayase YNS, Paula PMS, Miyazaki
MCOS., Artrite reumatoide: perfil de pacientes e sobrecarga de
cuidadores., Rev. Bras. Geriatr. Gerontol., Rio de Janeiro, 2018;
(1): 45-54
Hochberg MC. Updating the American College of Rheumatology
revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997 Sep;40(9):1725. doi:
1002/art.1780400928. PMID: 9324032.
Kay J, Upchurch KS. ACR/EULAR 2010 rheumatoid arthritis classification criteria. Rheumatology (Oxford). 2012 Dec;51 Suppl
:vi5-9. doi: 10.1093/rheumatology/kes279. PMID: 23221588.
Barbosa-Silva TG, Menezes AM, Bielemann RM, Malmstrom TK,
Gonzalez MC; Grupo de Estudos em Composição Corporal e
Nutrição (COCONUT). Enhancing SARC-F: improving sarcopenia
screening in the clinical practice. J Am Med Dir Assoc. 2016 Dec
;17(12):1136-1141. doi: 10.1016/j.jamda.2016.08.004. Epub
Sep 17. PMID: 27650212.
Downloads
Published
How to Cite
License
Copyright (c) 2021 Nutrición Clínica y Dietética Hospitalaria
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
